Physician
Diabetes, Endocrinology & Lipidology Center, INC.
Diabetes, Endocrinology & Lipidology Center, INC. was paid $69K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoDIABETES, ENDOCRINOLOGY & LIPIDOLOGY CENTER, INC.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1275810830assigned 11/10/2011
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$69K
24GClaims1,576
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in West Virginia
Rank by total paid#4 of 9
Median peer was paid$56K
This provider vs. median1.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 439 | $21K | |
| 2019 | 139 | $7K | |
| 2020 | 331 | $13K | |
| 2021 | 342 | $12K | |
| 2022 | 141 | $7K | |
| 2023 | 84 | $3K | |
| 2024incomplete | 100 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 74% | 935 | 815 | $51K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 134 | 110 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | 8.9% | 401 | 365 | $6K |
| 81003 | 2.8% | 106 | 91 | $2K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRYAN, PHILIP (PRESIDENT)